Breast Augmentation: Incision Methods and Implant Placement - What You Need to Know
Hello. I'm Dr. Choi In-kwon, a board-certified plastic surgeon at Miindo Plastic Surgery and Dermatology Clinic. For those considering breast augmentation, many factors come into play, but the choice of incision site is often the first question.
The incision location is more than just where a scar remains; it's a crucial point that affects the difficulty of the surgery, the recovery process, and the stability of the results.
In addition to the incision method, the implant placement location must also be considered. The feel and shape will differ depending on whether the implant is placed above the muscle, below the muscle, or in a dual plane, which affects the outcome.
Today, let's explore the incision sites and implant locations commonly used in 'breast augmentation clinics'.
Chapter 01: What to Consider When Choosing an Incision Site?
In breast augmentation, incision sites can be broadly divided into three types: inframammary, periareolar, and axillary.
Each area has distinct advantages and considerations, so the results may vary depending on the individual's body type, skin condition, and lifestyle.
The inframammary incision allows for a wide surgical view and stable results. The periareolar incision allows for adjusting the inframammary fold during the surgery, making the shape more flexible.
The axillary incision has the advantage of leaving no direct scars on the breast; however, those who frequently use their arms may need to pay more attention during the recovery process.
Therefore, it's advisable to consider the surgical view and subsequent recovery process, rather than just the scar location.
Chapter 02: Differences and Characteristics of Each Incision Method
Breast augmentation has slightly different characteristics for each incision site.
The table below summarizes the factors that are often compared when preparing for breast augmentation surgery, allowing you to easily check the characteristics of each method.
Incision Site
Scar Location
Characteristics
Points to Note
Inframammary Incision
Inframammary Fold
Easy to secure field of vision, stable results
Scars may be visible if the inframammary fold is weak
Periareolar Incision
Areolar Border
Flexible shape control, useful for revision surgery
Limited if the areola is small
Axillary Incision
None on the breast
Endoscope used, less burden of scars
Caution during recovery if arms are frequently used
As you can see from this table, each incision method has advantages, but there are also considerations that vary depending on the situation. The inframammary incision provides stable results, but some people are concerned about the scar location. The periareolar incision is good for adjusting the shape, but its application may vary depending on the size of the areola.
The axillary incision is preferred because scars are not left directly on the breast, but if you have a lifestyle that involves frequent arm use, more care is required during the recovery process.
Ultimately, determining which method is more appropriate requires considering individual conditions and lifestyle.
Chapter 03: Selection Criteria That Vary Depending on Body Type
The implant placement location, like the incision, is a factor that significantly affects the outcome.
It can be broadly divided into above the muscle, below the muscle, and the dual plane method. Placing the implant above the muscle can provide natural results for those with some basic volume, but if the tissue is thin, the implant may be visible.
Conversely, placing it below the muscle is suitable for small breast augmentation, and the implant line is not easily visible, maintaining a stable shape.
It also has the advantage of not interfering with breast examinations. The dual plane method places the upper part under the muscle and the lower part under the mammary gland tissue, combining the advantages of both methods.
It is preferred because it can express a natural feel with movement and can be applied to various body types.
The implant placement method is determined by considering skin thickness, inframammary fold, tissue elasticity, and desired volume, which requires professional diagnosis.
Chapter 04: A Process Connected to Scars, Feel, and Shape
The incision site and implant placement location of breast surgery each have distinct advantages and disadvantages.
The incision site directly affects scars and surgical view, while the placement location directly affects feel and shape.
Rather than concluding that one method is better, it's important to make a decision at a breast augmentation clinic, considering the individual's skin condition, anatomical conditions, lifestyle, and desired results.
Scars heal over time and gradually become more natural with management.
It is necessary to understand the incision method and placement location as interrelated factors and choose after sufficient comparison.
Miindo Plastic Surgery & Dermatology
This post was written directly by current medical staff in accordance with Article 56, Paragraph 1 of the Medical Law.
It was created with only the basic information of a medical institution that does not require deliberation of medical advertising in accordance with Article 57, Paragraph 3 of the same law and Article 24 of the same Enforcement Decree.
All procedures and surgeries may have different results depending on the individual's health condition, and there is a possibility of side effects such as swelling, bruising, inflammation, and pigmentation, so please make a careful decision after sufficient consultation with the medical staff.
Source :https://blog.naver.com/zaxdj3/224010141941
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